Academic literature on the topic 'Caesarean rates'

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Journal articles on the topic "Caesarean rates"

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CHAMBERLAIN, G. "Caesarean section rates." Lancet 338, no. 8759 (1991): 125–26. http://dx.doi.org/10.1016/0140-6736(91)90124-8.

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Wilkinson, Chris, Gillian Mcllwaine, Naren Patel, and Harvey Wagman. "Caesarean section rates." Lancet 342, no. 8885 (1993): 1490. http://dx.doi.org/10.1016/0140-6736(93)92968-y.

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Patil, Shruti Bhavi, and Rajitha D. "Robson classification: beyond caesarean rates." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 7 (2023): 2241–46. http://dx.doi.org/10.18203/2320-1770.ijrcog20231941.

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Background: Caesarean rates are increasing globally. Unnecessary caesarean sections are a public health concern and are associated with both short term and long-term risks. Robson’s ten group classification is the accepted classification for caesarean section and implementing it is an effective measure in understanding which group should be focussed to reduce the caesarean section rates. The classification can be used as a framework for assessing perinatal and maternal outcome. Methods: All the deliveries with gestational age more than 28 weeks at Gadag Institute of medical sciences, Karnataka
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S., Siwach, Lakra P., Sangwan V., Shivani, Kansal R., and Mahendru R. "To study the outcome of previous one cesarean pregnancies in a rural tertiary center of Haryana, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 5008. http://dx.doi.org/10.18203/2320-1770.ijrcog20175017.

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Background: Rising rates of caesarean section is a matter of great concern and TOLAC is an attractive alternative. Analysing outcome of previous one caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for TOLAC.Methods: A retrospective study of patients of previous one caesarean pregnancy was done from February 2015 to January 2016 and 3 groups were made, ERCS group, failed TOLAC group and successful TOLAC group. The rates of elective repeat caesarean, failed TOLAC, successful TOLAC, maternal complications, neonatal morbidity an
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Hoxha, Ilir, Alban Fejza, Mrika Aliu, Peter Jüni, and David C. Goodman. "Health system factors and caesarean sections in Kosovo: a cross-sectional study." BMJ Open 9, no. 4 (2019): e026702. http://dx.doi.org/10.1136/bmjopen-2018-026702.

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ObjectiveTo investigate the association of caesarean section rates with the health system characteristics in the public hospitals of Kosovo.DesignCross-sectional survey.SettingFive largest public hospitals in Kosovo.Participants859 women with low-risk deliveries who delivered from April to May 2015 in five public hospitals in Kosovo.Outcome measuresThe prespecified outcomes were the crude and adjusted OR of births delivered with caesarean section by health system characteristics such as delivery by the physician who provided antenatal care, health insurance status and other. Additional prespec
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Bailit, JL, and KS Gibson. "Understanding low caesarean rates." BJOG: An International Journal of Obstetrics & Gynaecology 123, no. 5 (2015): 762. http://dx.doi.org/10.1111/1471-0528.13539.

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de Jesus, G. Ramires, N. Ramires de Jesus, F. M. Peixoto-Filho, and G. Lobato. "Caesarean Rates in Brazil." Obstetric Anesthesia Digest 36, no. 1 (2016): 8–9. http://dx.doi.org/10.1097/01.aoa.0000479479.11602.6d.

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Cavallaro, Francesca L., Charles P. Kabore, Rachel Pearson, et al. "Does hospital variation in intrapartum-related perinatal mortality among caesarean births reflect differences in quality of care? Cross-sectional study in 21 hospitals in Burkina Faso." BMJ Open 12, no. 10 (2022): e055241. http://dx.doi.org/10.1136/bmjopen-2021-055241.

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ObjectivesTo examine hospital variation in crude and risk-adjusted rates of intrapartum-related perinatal mortality among caesarean births.DesignSecondary analysis of data from the DECIDE (DECIsion for caesarean DElivery) cluster randomised trial postintervention phase.Setting21 district and regional hospitals in Burkina Faso.ParticipantsAll 5134 women giving birth by caesarean section in a 6-month period in 2016.Primary outcome measureIntrapartum-related perinatal mortality (fresh stillbirth or neonatal death within 24 hours of birth).ResultsAlmost 1 in 10 of 5134 women giving birth by caesar
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Dar, Mudasir Ahmad, Sameer Ahmed Lone, and Rehana Rashid. "Analysis of Caesarean Section Rates by Robson’s Classification." Journal of Evidence Based Medicine and Healthcare 8, no. 20 (2021): 1460–65. http://dx.doi.org/10.18410/jebmh/2021/277.

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BACKGROUND A standard and comprehensive classification system is needed to maintain appropriate Caesarean section (CS) rates like Robson Ten Group Classification System. The present study was conducted to analyse Caesarean section rate and its distribution according to Robson’s classification. METHODS A descriptive study was conducted in the Department of Obstetrics and Gynaecology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi, from August 2018 to May 2019 on pregnant women of more than 28 weeks of gestation admitted for delivery. RESULTS Out of 8099 deliveries, 2924 required Caesarean
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Ahamed, Dr Toufiqua, and Dr Khaleda Jahan. "Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey." Scholars Journal of Applied Medical Sciences 10, no. 11 (2022): 2036–41. http://dx.doi.org/10.36347/sjams.2022.v10i11.039.

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Background: Caesarean section (CS) rates are growing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality. South Asian countries including Bangladesh have recorded substantial increases in caesarean section rates over the past decade. Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. The World Health Organization (WHO) has recognized an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has
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Dissertations / Theses on the topic "Caesarean rates"

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Paranjothy, Shantini. "Caesarean section rates in England and Wales : investigating variation between maternity units." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2004. http://researchonline.lshtm.ac.uk/682225/.

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In England and Wales, the Caesarean section (CS) rate is 21.5%, ranging from 6% to 66% between maternity units. The impact of a high CS rate on women's health and NHS resources is not clear. Case-mix differences should be taken into account to enable valid comparisons and exploration of factors contributing to this variation. An understanding of these factors is important to ensure quality of obstetric care. The aim of this thesis was to explore the variation in CS rates between maternity units and evaluate the impact of (I) case-mix and (ii) women's birth preferences using National Sentinel C
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Klimpel, Jill M. "Performing Modernity through Birth: Exploring High Rates of C-Sections in São Paulo, Brazil." Ohio University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1321638880.

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Litorp, Helena. "'What about the Mother?' : Rising Caesarean Section Rates and their Association with Maternal Near-Miss Morbidity and Death in a Low-Resource Setting." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-238626.

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In recent decades, there has been a seemingly inexhaustible rise in the use of caesarean section (CS) worldwide. The overall aim with this thesis is to explore the effects of and reasons for an increase in the CS rate at a university hospital in Dar es Salaam, Tanzania. In Study I, we analysed time trends in CS rates and maternal and perinatal outcomes between 2000 and 2011 among different obstetric groups. In Study II, we documented the occurrence and panorama of maternal ‘near-miss’ morbidity and death, and analysed their association with CS complications. We also strived to determine if wom
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Venter, Eben Kruger. "The Caesarean Section rate at Mowbray Maternity Hospital: Applying Robson's Ten group classification system." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29234.

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Background The United Nations (UN) aims to reduce the maternal mortality ratio (MMR) and improve access to reproductive health services. Caesarean sections (CS) are known to be associated with a raised mortality rate by a factor of 2.8 in addition to the raised morbidity rate (OR 3.1; 95% CI 3.0-3.3) compared to vaginal deliveries (VD). Globally, there has been a concerning trend in the caesarean section rate (CSR), rapidly increasing since the 1970’s, with some countries reporting CS rates as high as 40.5%. South Africa has a CSR of 25.7%, which is higher than the suggested rate by the Worl
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Horak, Tracey Anne. "An analysis of the caesarean section rate at Mowbray Maternity Hospital using Robson's Ten group Classification System by Tracey Anne Horak." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3046.

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Dlamini, Sibongile Margaret. "Caesarean section rates at the Standerton Hospital, 2004-2007." Thesis, 2011. http://hdl.handle.net/10413/11084.

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Introduction Increased use of caesarean section (CS) as a mode of delivery is of concern for maternal and child health in many countries. The World Health Organization (WHO) has set guideline of population caesarean section rate between 5% - 15% for CS deliveries. Accordingly the South African National Department of Health (NDOH) has set a national target for district hospitals, that no more than 10% of all deliveries should be by CS. Standerton District Hospital experienced a sudden increase in the caesarean section rate (CSR), from 17.5% in 2004 to 30.8% in 2007. The reasons for this increas
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Inyang-Otu, Ukeme Sunday. "Factors associated with high caesarean section rates in Bertha Gxowa Hospital." Thesis, 2014. http://hdl.handle.net/10539/15294.

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Thesis (M.Fam.Med.)--University of the Witwatersrand, Faculty of Health Sciences, 2014.<br>BACKGROUND: Bertha Gxowa hospital, like other district hospitals in South Africa offers Caesarean section as an essential obstetric service to pregnant women. Caesarean section rates have been increasing worldwide, giving cause for concern because of increased maternal and perinatal morbidity and mortality associated with high Caesarean section rates. This study aims to describe factors associated with high Caesarean section rates in Bertha Gxowa hospital. The researcher hypothesized that associated fac
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Walker, Ruth Ballance. "The development and evaluation of a health promotion program for pregnant women aimed at addressing rates of caesarean section / Ruth Walker." 2002. http://hdl.handle.net/2440/21823.

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"May 2002"<br>Includes bibliographical references (leaves 267-289)<br>xvii, 290, [69] leaves : ill., plates ; 30 cm.<br>Title page, contents and abstract only. The complete thesis in print form is available from the University Library.<br>Thesis (Ph.D.)--University of Adelaide, Depts. of Public Health and General Practice, 2002
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Fernandes, Inês Sabina Maia. "The impact of intrapartum ultrasound in the rate of caesarean section." Master's thesis, 2021. https://hdl.handle.net/10216/134489.

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A taxa de cesariana está a aumentar a nível mundial, tornando-se uma preocupação para os sistemas de saúde. Recentemente, a ecografia intraparto tem vindo a ser estudada como uma potencial ferramenta adjuvante na orientação do trabalho de parto. O objetivo deste estudo é avaliar o impacto da ecografia intraparto na taxa de cesarianas. Foi realizada uma revisão da literatura, pelo uso de uma querie com os domínios "intrapartum ultrasound AND caesarean". Foram selecionados dois artigos. Concluímos que a ecografia intraparto pode reduzir a taxa de cesariana, sem diferenças significativas nos desf
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Fernandes, Inês Sabina Maia. "The impact of intrapartum ultrasound in the rate of caesarean section." Dissertação, 2021. https://hdl.handle.net/10216/134489.

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A taxa de cesariana está a aumentar a nível mundial, tornando-se uma preocupação para os sistemas de saúde. Recentemente, a ecografia intraparto tem vindo a ser estudada como uma potencial ferramenta adjuvante na orientação do trabalho de parto. O objetivo deste estudo é avaliar o impacto da ecografia intraparto na taxa de cesarianas. Foi realizada uma revisão da literatura, pelo uso de uma querie com os domínios "intrapartum ultrasound AND caesarean". Foram selecionados dois artigos. Concluímos que a ecografia intraparto pode reduzir a taxa de cesariana, sem diferenças significativas nos desf
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Books on the topic "Caesarean rates"

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NHS Institute for Innovation and Improvement (Great Britain) Staff. Focus on Normal Birth and Reducing Caesarean Section Rates. NHS Institute for Innovation and Improvement, 2010.

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Dyer, Robert A., Michelle J. Arcache, and Eldrid Langesaeter. The aetiology and management of hypotension during spinal anaesthesia for caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0023.

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The management of hypotension during spinal anaesthesia for caesarean delivery remains a challenge for anaesthesiologists. Close control of maternal haemodynamics is of great importance for maternal and fetal safety, as well as maternal comfort. Haemodynamic responses to spinal anaesthesia are influenced by aortocaval compression, the baricity and dose of local anaesthetic and opioid employed, the rational use of fluids, and the goal-directed use of vasopressors. The most common response to spinal anaesthesia is hypotension and an increased heart rate, which reflects a decreased systemic vascu
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Jacquemyn, Yves, and Anneke Kwee. Antenatal and intrapartum fetal evaluation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0006.

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Antenatal and intrapartum fetal monitoring aim to identify the beginning of the process of fetal hypoxia before irreversible fetal damage has taken place. Fetal movement counting by the mother has not been reported to be of any benefit. The biophysical profile score, incorporating ultrasound and fetal heart rate monitoring, has not been proven to reduce perinatal mortality in randomized trials. Doppler ultrasound allows the exploration of the perfusion of different fetal organ systems and provides data on possible hypoxia and fetal anaemia. Maternal uterine artery Doppler can be used to select
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Book chapters on the topic "Caesarean rates"

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O’Driscoll, K., and P. Crowley. "Caesarean section and perinatal mortality rates." In Perinatal Medicine. Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_29.

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Brodrick, Alison, Nicky Mason, Janet Baldwin, and Sophie Cowley. "Using Collaborative Theories to Reduce Caesarean Section Rates and Improve Maternal and Infant Well-Being." In Essential Midwifery Practice: Leadership, Expertise and Collaborative Working. John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118784990.ch11.

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Monod, Cécile, Irene Hoesli, Samira Akra, et al. "Impacted Foetal Head at Caesarean Section." In Simulation Training for Obstetric Emergencies. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-81931-5_11.

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Abstract In parallel with the overall increasing rate of caesarean sections, a rise in caesarean sections at full dilatation (CSFD) has been observed over the last few decades. CSFDs are associated with a higher rate of maternal and neonatal complications because they can be technically challenging.
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Bivona, Enzo, and Federico Cosenz. "Designing Outcome-Based Performance Management Systems to Assess Policies Impacting on Caesarean Section Rate: An Analysis of the Sicilian Maternity Pathway." In System Dynamics for Performance Management. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57018-1_4.

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Joseph Nggada, Benjamin. "Operative Vaginal Delivery (OVD) in Contemporary Obstetrics." In Labor and Delivery From a Public Health Perspective [Working Title]. IntechOpen, 2025. https://doi.org/10.5772/intechopen.1009124.

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In contemporary obstetrics, operative vaginal delivery still plays a key role in reducing morbidity and improving fetal outcomes and has proven to be inversely proportional to caesarean delivery rates. Therefore, in settings where the rate of instrumental vaginal delivery is high, the caesarean delivery rate is proportionally lower. The dwindling incidence of instrumental vaginal delivery is attributed to the lack of skills accusation, modification of medical curriculum, increased caesarean section rate, and increased litigation in contemporary practice. In the hands of a skilled operator when
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Takyi, Charles, Promise E. Sefogah, and Kwame Adu Bonsaffoh. "Surgical Techniques in Caesarean Section." In Obstetrics and Gynecology. IntechOpen, 2024. https://doi.org/10.5772/intechopen.115545.

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Caesarean section (CS) is defined as the surgical delivery of a baby, placenta, and membranes through an incision into the abdomen and uterus after the period of foetal viability. It is the commonest operative delivery technique worldwide, and the global trend for the CS rate has been rising progressively since 1990. A worldwide review of CS records gives an average CS rate of 21% with a range of 5–42.8%. Disparities in CS rates have been observed between continents, countries, regions, cities, and institutions. Historically, caesarean section was used to deliver babies in a dead or dying moth
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Papazovska Cherepnalkovski, Anet, Vesna Pavlov, Ivanka Furlan, and Marija Bucat. "The Extremely Low Birth Weight Infant." In Caesarean Section [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96921.

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Extremely low birth weight infants (ELBW) are defined by birth weight of less than 1000 g and are frequently born at 27 weeks’ gestation (GW) or younger. The neonatologists’ efforts focused on improvement of intact survival rate, especially for those born at the frontiers of viability at 22/23 GW. Survival rates of &gt;80% for the advanced gestations and &gt; 50% for 23–24 GW have been reported. Higher gestational age and birth weight, female gender, better maternal education, and white race have been recognized as significant predictors of decreased morbidity in ELBW infants. Although the mor
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Antonakou, Angeliki, and Dimitrios Papoutsis. "Cesarean Section and Breastfeeding Outcomes." In Caesarean Section [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96658.

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The cesarean section rates in the developed countries are well above the 5% to 15% rate of all births as suggested by the World Health Organization (WHO) in 2009 and currently range widely between 25% and 50%. Moreover, the WHO guidance promotes early breastfeeding initiation during the first hour postpartum, exclusive breastfeeding up until the 6th month and maintaining breastfeeding at least up to the second year of the infant’s life. In this review, we discuss the current evidence on whether a cesarean section interferes with the initiation and the long-term duration of breastfeeding practi
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Giletew Wondie, Awoke. "Magnitude, Factors Associated with Cesarean Delivery and Its Appropriateness." In Caesarean Section [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98286.

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Inappropriate use of CS can have profoundly negative consequences for women and the broader community. A recent meeting of the International Confederation of Midwifes, the International Federation of Gynecologists and Obstetrics and the Gates Foundation to discuss the impact of rising CS rates on maternal and infant mortality in LMICs highlights the international importance of the issue. Knowledge of CS determinants is a first step in the effort to define strategies to reduce unnecessary CSs. Previous studies showed that the main reasons for performing CS are clinical factors. However, non-cli
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Bayo, Pontius, and Juliet Ajok. "Approaches at Community Level for Care of the Preterm Neonates in Low-Income Countries." In Current Topics in Caesarean Section. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96920.

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The survival of preterm babies has significantly improved over the last several decades in the high-income countries because of the availability of Neonatal Intensive Care Units (NICU’s) in both large and small hospitals, presence of specially trained physicians, nurses, and other health care personnel with easy access to sophisticated equipment. However, the bigger public health advances that saw improvements in socio-economic status of the populations, improvements in education and sanitation conditions and reductions in malnutrition and rates of infectious diseases were probably the main re
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Conference papers on the topic "Caesarean rates"

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Punchihewa, R. G. D. G., I. M. Wijenanda, C. L. Panawala, W. C. V. Cooray, J. B. H. Udage, and K. Goonaratne. "Proportion of caesarean deliveries and maternal and neonatal factors associated with it among mothers delivered in teaching hospital Kalutara." In Annual Academic Sessions-2024. Faculty of Medicine, University of Moratuwa, 2024. https://doi.org/10.31705/fomaas.2024.23.

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Caesarean section is a commonly used surgical procedure performed in obstetrics. Generally, the cesarean section is performed under special maternal and fetal indications. However, it is globally acknowledged that the rates of caesarean section delivery are increasing gradually, due to various maternal and neonatal factors. However, cesarean section entails specific short-term and long-term complications for both mother and baby. This study was conducted to assess the proportion of cesarean delivery and maternal and neonatal factors associated with it among mothers delivered in obstetric wards
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Alansari, Lolwa, Saheed Shittu, Fahed Nattouf, et al. "39 Pioneering progress: a plan-do-study-act-driven transformation in caesarean rates via vaginal birth after caesarean clinic’s initiatives." In 2025 HMC/IHI Middle East Forum Abstracts. British Medical Journal Publishing Group, 2025. https://doi.org/10.1136/bmjoq-2025-ihi.39.

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Özer, Özlem, Çiğdem Gün, and Meltem Saygili. "COST OF CAESAREAN SECTION RATES IN TURKEY AND THEIR BURDEN IN THE TURKISH HEALTH ECONOMICS." In 24th International Academic Conference, Barcelona. International Institute of Social and Economic Sciences, 2016. http://dx.doi.org/10.20472/iac.2016.024.068.

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Smith, M., and T. Al-Ani. "B290 Spinal anaesthesia in category 1 vs category 2 caesarean sections: patient satisfaction and complication rates." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.364.

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Ashar, Hadi, and Ina Kusrini. "Determinant of the Increased Sectio Caesarea Labor Rates of Indonesia in 2017." In 4th International Symposium on Health Research (ISHR 2019). Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.051.

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Muendane, A., G. Seliger, K. Chaoui, et al. "Reduktion der Doppelnarben-Rate und Optimierung der Narbenarchitektur durch ultraschallgestützte chirurgische Intervention im Rahmen der Re-Sectio caesarea." In 18. Kongress – Deutsche Gesellschaft für Pränatal- und Geburtsmedizin DGPGM. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1660653.

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Bracic, T., I. Pfniß, K. Kutllovci-Hasani, N. Taumberger, W. Schöll, and P. Reif. "Entwicklung der Sectio caesarea (CS) Raten an der Frauenklinik Graz im 10-Jahresintervall anhand der Robson-10 Gruppen-Klassifikation." In Kongressabstracts zur Jahrestagung 2020 der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (OEGGG). Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1713212.

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Bracic, T., I. Pfniß, K. Kutllovci-Hasani, et al. "Entwicklung der Sectio Caesarea (CS) Raten an der Frauenklinik Graz im 10- jahres Intervall anhand der Robson 10-gruppen Klassifikation." In Kongressabstracts zur Tagung 2020 der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). © 2020. Thieme. All rights reserved., 2020. http://dx.doi.org/10.1055/s-0040-1718000.

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Supraptomo, Rth. "A Case Report on Regional Anaesthesia in Pregnant Women with Severe Pre-Eclampsia, Partial Hellp Syndrome, Fetal Distress, and Type II Diabetes Mellitus." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.29.

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ABSTRACT Background: Maternal mortality in Indonesia is caused by multifactors that are both direct and indirect factors. Complications during pregnancy and after delivery, including preeclampsia is the direct cause of 90% of maternal deaths. This case report aimed to describe the anaesthesia management on the incidence of severe preeclampsia to prevent the complications. Subjects and Method: We reported a 33-year-old G3P2A0 woman with 33 weeks of gestational age, diagnosed with severe pre-eclampsia partial HELLP syndrome, fetal dis-tress, type II diabetes mellitus pro SCTP emergency with phys
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Reports on the topic "Caesarean rates"

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Mulaku, Mercy N. Do non-clinical interventions reduce unnecessary caesarean section rates? SUPPORT, 2016. http://dx.doi.org/10.30846/1612112.

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There has been an increase in caesarean section rates globally. As much as caesarean sections might be life saving, some are unnecessary, they predispose the mother to potential harms, such as haemorrhage, and they have high costs. Non clinical interventions may reduce unnecessary caesarean section. This includes interventions such as providing education to health pro-fessionals and mothers, mandatory second opinions, financial in-terventions, and other guideline implementation strategies.
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